The nurse is continuing to care for the client.
The nurse is reviewing the assessment findings.
For each assessment finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.
Blood pressure
Elevated alanine aminotransferase (ALT)
Platelet count
Hemoglobin
The Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"}}
|
Finding |
Preeclampsia |
HELLP syndrome |
|
Blood pressure |
✓ |
✓ |
|
Elevated alanine aminotransferase (ALT) |
|
✓ |
|
Platelet count |
|
✓ |
|
Hemoglobin |
|
✓ |
Rationale:
Preeclampsia: Characterized by hypertension and proteinuria.
HELLP syndrome: A severe form of preeclampsia, characterized by hemolysis, elevated liver enzymes (ALT, AST), and low platelet count.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Bowel perforation is a serious complication that can occur as a result of necrotizing enterocolitis (NEC), which is a condition often seen in preterm infants. In NEC, the intestines become inflamed and can eventually rupture, leading to bowel perforation. The neonate's symptoms, including abdominal distention, firm abdomen, decreased bowel sounds, and a small amount of blood in the stool, are consistent with NEC. The abdominal x-ray showing marked distention of the intestine further supports this diagnosis.
Necrotizing enterocolitis (NEC) is a common and life-threatening condition in preterm infants (like this neonate born at 34 weeks gestation), particularly those receiving enteral feedings. It can lead to bowel perforation, sepsis, and other serious complications.
Correct Answer is C
Explanation
A. Offer three large meals: Small, frequent meals are better tolerated.
B. Administer a bronchodilator after meals: Should be given before meals.
C. Limit fluid intake with meals: Reduces gastric distension and improves calorie intake.
D. Ambulate before meals: May increase fatigue and reduce intake.
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